Puas muaj tej lub sij hawm koj sawv thaum hmo ntuj nrog koj txhais tes loog? Los yog koj cov ntiv tes loog thaum ua hauj lwm ntawm lub computer, siv koj lub xov tooj, lossis tsav tsheb? Ib qho ntawm cov laj thawj tseem ceeb rau qhov no tuaj yeem yog ib qho mob hu ua Carpal Tunnel Syndrome . Yog li thaum koj mus ntsib kws kho mob kom qhia nws txog hom kev tsis xis nyob no, hnub no peb tab tom tham txog kev kuaj mob yooj yim heev kom paub seb koj puas muaj qhov no. Qhov no hu ua Phalen's Test.
Kev Ntsuas Phalen yog dab tsi?
Hais yooj yim xwb, qhov no yog kev kuaj lub cev yooj yim heev uas koj tus kws kho mob ua hauv chaw ua haujlwm, tsis muaj cov khoom siv tshwj xeeb. Nws tseem hu ua Phalen's sign. Koj tus kws kho mob yuav coj koj tuav koj txhais tes thiab dab teg rau hauv qee qhov chaw.
Cov haujlwm no muab me ntsis kev nyuaj rau ntawm Median Nerve, ib qho hlab ntsha tseem ceeb heev uas khiav hla koj lub dab teg. Xav txog nws zoo li nias ib lub yeeb nkab dej. Yog li, yog tias koj muaj Carpal Tunnel Syndrome tiag tiag, thaum cov hlab ntsha no raug nias me ntsis, koj yuav hnov mob tingling lossis loog hauv koj cov ntiv tes. Yog tias cov tsos mob no tshwm sim, nws yuav muab rau koj tus kws kho mob lub tswv yim zoo tias koj yuav muaj tus mob no.
Nco ntsoov, qhov no tsuas yog ib kauj ruam hauv kev kuaj mob xwb. Tom qab qhov kev kuaj no, tej zaum yuav muaj lwm yam kev kuaj mob los xyuas kom meej tias qhov kev kuaj mob yog qhov tseeb.
Vim li cas thiaj ua qhov kev kuaj no? Cia peb tham me ntsis txog Carpal Tunnel Syndrome.
Yuav kom nkag siab qhov kev xeem no, peb yuav tsum paub me ntsis txog Carpal Tunnel Syndrome yog dab tsi.
Xav txog tias muaj ib lub qhov me me hla koj lub dab teg. Qhov no yog qhov peb hu ua Carpal Tunnel . Lub qhov no yog ua los ntawm ib lub pob txha me me thiab cov leeg ntawm lub dab teg. Hauv lub qhov no, cov leeg uas pab peb khoov peb cov ntiv tes thiab Median Nerve uas muab kev xav rau tes hla.
Yog li ntawd, yog tias muaj qee qhov laj thawj muaj o hauv lub qhov av no, lossis yog tias muaj lwm yam laj thawj qhov chaw sab hauv txo qis, cov hlab ntsha nruab nrab uas kuv tau hais txog pib raug nias thiab ntswj. Qhov ntawd yog qhov peb hu ua Carpal Tunnel Syndrome.
Thaum cov hlab ntsha no raug nias, cov tsos mob xws li loog, tingling, mob, thiab qee zaum poob zog hauv tes, feem ntau yog ntawm tus ntiv tes xoo, tus ntiv tes qhia, tus ntiv tes nruab nrab, thiab ib nrab ntawm tus ntiv tes nplhaib, yuav tshwm sim.
Koj ua qhov kev xeem Phalen li cas?
Qhov no yooj yim heev. Koj tsis tas yuav npaj dab tsi tshwj xeeb. Tus kws kho mob yuav qhia koj meej meej yuav ua li cas.
1. Ua ntej, muab koj txhais tes tso rau ntawm lub duav, thiab muab tso rau sab nraub qaum ntawm koj txhais tes. Yog xav kom meej, tig koj txhais tes tawm sab nraud thiab muab koj ob txhais tes tom qab sib koom ua ke.
2. Tom ntej no, tuav ob txhais tes rau tib qho chaw, tsa ob lub luj tshib kom txog thaum lawv nyob rau ntawm lub hauv siab. Thaum lub sijhawm no, lub dab teg yuav khoov tag nrho.
3. Tam sim no tus kws kho mob yuav qhia koj kom nyob hauv qhov chaw no li ib feeb .
4. Tus kws kho mob yuav nug koj seb koj puas muaj kev loog, kub hnyiab, lossis lwm yam kev tsis xis nyob hauv koj cov ntiv tes lub sijhawm no.
Qhov no puas yog qhov teeb meem nrog rau Reverse Phalen's Test?
Yog, qhov no yog lwm txoj hauv kev los kuaj xyuas Carpal Tunnel Syndrome. Qee zaum tus kws kho mob yuav ua ob qho kev kuaj no.
Ua li no rau sab tod. Muab koj ob txhais tes tso ua ke zoo li koj tab tom khoov thiab nthuav koj lub luj tshib mus rau sab. Tom qab ntawd, tib yam li ntawd, txo koj ob txhais tes mus rau koj lub plab. Tus kws kho mob yuav hais kom koj nyob hauv qhov chaw no li ib feeb. Thaum lub sijhawm no, lawv kuj yuav kuaj xyuas seb cov tsos mob uas koj tau hais ua ntej puas tshwm sim.
Cov txiaj ntsig ntawm qhov kev xeem yog dab tsi thiab yuav muaj dab tsi tshwm sim tom qab ntawd?
Tus kws kho mob yuav muab koj cov txiaj ntsig faib ua "Zoo" lossis "Tsis Zoo" .
- Kev Ntsuas Phalen Zoo: Qhov no txhais tau tias koj tau muaj cov tsos mob (xws li loog thiab mob) ntsig txog Carpal Tunnel Syndrome thaum lub sijhawm kuaj.
- Kev Ntsuas Phalen Tsis Muaj: Qhov no txhais tau tias koj tsis hnov mob dab tsi thaum lub sijhawm kuaj.
Tiam sis nco ntsoov, qee zaum txawm tias qhov tshwm sim tsis zoo los xij, koj tseem yuav muaj mob Carpal Tunnel Syndrome. Yog vim li ntawd tus kws kho mob yuav ceev faj heev txog cov tsos mob thiab lwm yam uas koj piav qhia.
Tom qab kuaj xyuas no, tus kws kho mob yuav pom zoo kom kuaj ntxiv ntau zaus kom paub tseeb tias kuaj tau lossis saib seb cov hlab ntsha puas tsuaj li cas.
- Kev kuaj MRI (Magnetic Resonance Imaging): Txhawm rau pom cov qauv hauv lub dab teg kom meej.
- Kev kuaj mob ultrasound: Txhawm rau saib qhov loj ntawm cov hlab ntsha nruab nrab thiab seb nws puas raug nias.
- Kev kuaj EMG (Electromyogram): Ntsuas qhov ceev uas cov teeb liab hluav taws xob mus los ntawm cov hlab ntsha kom paub tseeb tias cov hlab ntsha puas lawm.
Tom qab cov kev kuaj no, yog tias paub tseeb tias koj muaj Carpal Tunnel Syndrome, koj tus kws kho mob yuav pib kho mob uas tsim nyog rau koj. Qhov no yuav suav nrog kev siv cov hlau nplaum, tshuaj, lossis qee zaum, xa mus rau tus kws kho mob pob txha (orthopedist) rau kev phais me me.
Qhov txawv ntawm Phalen's Test thiab Tinel's Sign yog dab tsi?
Ob qho no yog cov kev kuaj yooj yim uas cov kws kho mob ua hauv lawv chav los kuaj mob Carpal Tunnel Syndrome. Txawm li cas los xij, muaj qhov sib txawv me ntsis hauv txoj kev ua ob qho no. Cia peb nkag siab meej nrog lub rooj.
| Yam ntxwv | Kev Xeem Phalen | Lub Cim Tinel |
|---|---|---|
| Yuav ua li cas | Khoov lub dab teg kom nruj, nias rau ntawm cov hlab ntsha, thiab tuav li ib feeb. | Tus kws kho mob maj mam siv nws tus ntiv tes kov qhov chaw uas cov hlab ntsha nruab nrab hla dhau lub dab teg. |
| Koj xav li cas (yog tias zoo) | Cov ntiv tes tsis muaj zog lossis tsis hnov mob thaum tswj hwm tus cwj pwm. | Muaj ib qho kev xav tias muaj cov koob thiab koob ntawm cov ntiv tes thaum kov. |
| Lub hom phiaj tseem ceeb | Ua rau muaj cov tsos mob los ntawm kev nias rau ntawm cov hlab ntsha. | Siv tshuaj los pab kom cov hlab ntsha uas raug nias kom ua rau cov tsos mob tshwm sim. |
Nrog ob qho kev kuaj no, tus kws kho mob tab tom sim txiav txim siab seb koj cov hlab ntsha nruab nrab puas raug nias lossis nws puas rhiab heev.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev Ntsuas Phalen yog ib qho kev kuaj yooj yim heev, tsis mob, thiab muaj kev nyab xeeb los kuaj mob Carpal Tunnel Syndrome.
- Tsis txhob tsis quav ntsej txog qhov mob, loog, lossis tsis hnov mob hauv koj txhais tes lossis ntiv tes. Cov no yuav yog cov tsos mob ntawm Carpal Tunnel Syndrome.
- Qhov kev kuaj no tsuas yog ib feem ntawm kev kuaj mob tag nrho xwb. Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog koj cov tsos mob.
- Cov txiaj ntsig ntawm qhov kev xeem no yuav pab tau koj tus kws kho mob kom txiav txim siab seb koj yuav tsum ua dab tsi tom ntej.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus